Individual provider Active NPI

Michael Zarsadiaz Balbarin, P.T.

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1679506786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6232 Issued in AZ
Practice address
4369 E Village Pkwy
Gilbert, AZ 85297-8003
Phone
(480) 329-7447
Fax
(480) 636-7880
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6232 AZ Primary

Addresses

Primary practice location

4369 E Village Pkwy
Gilbert, AZ 85297-8003

Mailing address

4632 S Calico Rd
Gilbert, AZ 85297-9587
Phone (480) 636-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000709 AZ Practitioner - Physical Therapist in Private Practice 5294740668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Physical Therapy and Wellness IncGroup PAC ID 3678588043, 2 clinicians

Practice addresses (Care Compare)

6804 S Kings Ranch Rd
Suite 103
Gold Canyon, AZ 85118-2960
Phone (480) 983-8600

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
91.54
Improvement activities
40
Cost
83.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6232AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Physical Therapy and Wellness, Inc Physical Therapist CurrentSince Oct 1, 2008 Accepting new patients

Locations

4369 E Village Pkwy
Gilbert, AZ 85298
Phone (480) 329-7447

6804 S Kings Ranch Rd
Ste 103
Gold Canyon, AZ 85118
Phone (480) 689-5520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679506786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 S CALICO RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979587",
            "telephone_number": "480-636-7880",
            "fax_number": "480-636-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 E VILLAGE PKWY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978003",
            "telephone_number": "480-329-7447",
            "fax_number": "480-636-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBARIN",
        "first_name": "MICHAEL",
        "middle_name": "ZARSADIAZ",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.